| Eastern Jackson County Psychiatric Assoc Inc | |
|
17221 E 23rd St S #206 Independence MO 64057-1803 | |
| (816) 373-1911 | |
| Not Available |
| Full Name | Eastern Jackson County Psychiatric Assoc Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 17221 E 23rd St S, Independence, Missouri |
| Authorized Official Name and Position | Diana J Kurtz (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 8163731911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastern Jackson County Psychiatric Assoc Inc 17221 E 23rd St S #206 Independence MO 64057-1803 Ph: (816) 373-1911 | Eastern Jackson County Psychiatric Assoc Inc 17221 E 23rd St S #206 Independence MO 64057-1803 Ph: (816) 373-1911 |
| NPI Number | 1356305999 |
|---|---|
| Provider Enumeration Date | 04/12/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356305999 | NPI | - | NPPES |
| 08304016 | Other | MO | BCBSKC |
| 10712013 | Other | MO | BCBSKC |
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